| NPI | 1063568723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 260355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 260355) |
| 208000000X Pediatrics (Licence: NY 260355) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-06-29 |